Individual
DR. MITCHELL ELLIOTT BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, UNIVERSITY OF MN PHYSICIANS PWB FIFTH FLOOR, CLINIC 5A, MINNEAPOLIS, MN 55455-0356
(612) 625-5656
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MN PHYSICIANS MMC 98, MINNEAPOLIS, MN 55455-0341
(612) 625-8625
(612) 624-6678
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24562
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-11852
MEDICA CHOICE
MN
01
—
03-77644
MEDICA PRIMARY
MN
05
—
0500264
—
IA
01
—
1000192
PREFERRED ONE
MN
01
—
114531
UCARE
MN
01
—
2T261BE
BCBS
MN
05
—
32194400
—
WI
01
—
768019
ARAZ
MN
01
—
HP12882
HEALTHPARTNERS
MN
Enumeration date
06/20/2006
Last updated
07/09/2007
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